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Lyophilized (freeze-dried) vials contain peptide powder that must be reconstituted with bacteriostatic water before usethese are stable at 20C for 1224 months before reconstitution

In addition, recent studies suggest that under certain conditions, such as hyperreduced CoQ pools and elevated mitochondrial membrane potential, reverse electron transport may occurwhereby electrons flow from ubiquinol (CoQ 10 H 2 ) back to complex I, generating NADH 110,111

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Dietary moderation produces gradual benefit and can be a long term strategy for managing symptoms

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doi: 10.1080/1028415X.2017.1347746 160 SharmaA.MehanS